Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $19,498.45 / $19,498.45	Facility		$15,488.17	$19,498.45	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $16,595.87 / $19,498.45	Professional		$15,488.17	$16,595.87	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $6,760.83	Professional		$4,168.69	$5,248.07	$6,760.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $15,848.93 / $15,848.93	Professional		$151.36	$15,848.93	$15,848.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,370.32 / $20,417.38	Facility		$4,265.80	$5,370.32	$20,417.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $16,218.10 / $19,952.62	Professional		$6,025.60	$16,218.10	$19,952.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $19,498.45	Professional		$4,570.88	$6,760.83	$19,498.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $19,498.45	Professional		$5,888.44	$5,888.44	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $19,498.45	Professional		$16,218.10	$16,218.10	$19,498.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $4,265.80	Professional		$3,388.44	$4,265.80	$4,265.80